Provider Demographics
NPI:1689316077
Name:DOWDY, AYRON NICOLE
Entity Type:Individual
Prefix:MS
First Name:AYRON
Middle Name:NICOLE
Last Name:DOWDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 WESTFIELD AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-1300
Mailing Address - Country:US
Mailing Address - Phone:908-230-0703
Mailing Address - Fax:
Practice Address - Street 1:724 WESTFIELD AVE APT 5
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-1300
Practice Address - Country:US
Practice Address - Phone:908-230-0703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician